Question

Name

qi_C3_q

Label

C3 q

Question Text

Has this teenager ever had any of the following conditions? Mental or educational retardation (please specify ...)

Instructions

Answer (a)-(r) and tick all that apply on each line

Type
Text
Maximum Length
255

Usage

81 questions before...
Has this teenager ever had any of the following conditions?

Answer (a)-(r) and tick all that apply on each line

-

1 - Yes, in past 12 months

2 - Yes, previous to past 12 months

3 - Yes, but age not known

4 - No, never

5 - Not known

Recurrent sore throats (3 or more in past year)
Middle ear infection/glue ear
Any hearing loss, perceptive or conductive
Eczema
Hay Fever
Asthma
Wheezy bronchitis
Bronchitis
Pneumonia
Pathological heart condition
Recurrent abdominal pain
Inguinal hernia
Urinary infection
Wet bed more than occasionally since 10 years of age
Wet pants in daytime more than occasionally since 10 years of age
Soiled pants at any time since 10 years of age

Has this teenager ever had any of the following conditions? Mental or educational retardation (please specify ...)

Answer (a)-(r) and tick all that apply on each line

1
Yes, in past 12 months
2
Yes, previous to past 12 months
3
Yes, but age not known
4
No, never
5
Not known
Generic text

Has this teenager ever had any of the following conditions? Any other significant illness or disability (please specify (i) ... (ii) ... (iii) ...)

Answer (a)-(r) and tick all that apply on each line

1
Yes, in past 12 months
2
Yes, previous to past 12 months
3
Yes, but age not known
4
No, never
5
Not known
Other
Other 2
Other 3
104 questions after...
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